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In consideration of the payment of Premiums when due and subject to all of the terms of this Agreement, <br />Blue Cross Blue Shield of Florida, Inc. hereby agrees to provide each enrollee of Indian River County <br />Board of County Commissioners the benefits of this Agreement as set forth in the attached Evidence of <br />Coverage beginning on each enrollee's effective date. <br />The Group has selected the following plan and premium: PPO2 RX1 @ $295.11 <br />The Group's Agreement is effective as of October 1, 2019. <br />IN WITNESS WHEREOF, the parties have executed this Agreement as of July 9, 2019. <br />Blue Cross Blue Shield of Florida, Inc. <br />(DBA Florida Blue) <br />By: <br />Name: Lynn Esposito <br />(Please Print or Type) <br />Indian River County Board of County <br />Commissioners <br />Title: Vice President, Sales Operations Title: Chairman <br />Attest Jeffrey R. Smith, Clerk of <br />Circuit Court and Comptroller <br />Deputy Cosi t <br />12 <br />APPROVED AS TO FORM <br />AND LEGAL SUFFICIENCY <br />BY <br />DYLAN�3EIiVU�.iLI,� <br />COUNTY ATTORNEY <br />